Population prevalence and control of cardiovascular risk factors: What electronic medical records tell us

Abstract

Hypertension was the most prevalent cardiovascular risk factor in the Catalan population attended at primary care centers. About two thirds of individuals with hypertension or DM2 were adequately controlled; hypercholesterolemia control was particularly low.

Monitoring Prevalence, Treatment, and Control Of Metabolic Conditions In New York City Adults Using 2013 Primary Care Electronic Health Records: A Surveillance Validation Study

“…Our experience is consistent with successful efforts mounted in several other countries to determine hypertension prevalence using primary care EHR data 3,4,16,17,36. Indeed, our exploratory sensitivity findings of 83 percent to 100 percent for base and augmented hypertension prevalence definitions were comparable to or better than published sensitivity results from larger individual-level validation studies conducted in Canada (85 percent)16 and Sweden (83 percent) 37.…”

“…Our less successful efforts to validate prevalence metrics for hyperlipidemia were similar to experiences of researchers elsewhere 3,4,17. Estimates using diagnoses were not statistically equivalent, although estimate magnitudes were within two percentage points of each other, potentially reflecting limited statistical power in NYC HANES estimates due to age restrictions.…”

“…Studies using primary care EHR data to estimate diagnosed diabetes in countries with higher EHR penetration, such as Spain,4,36,40 Switzerland,3 the United Kingdom,17 and Canada,41 have found diabetes prevalence compares well with population-based surveys. We found statistically significant differences when the augmented definition was applied, with prevalence 2.5 percentage points higher in NYC HANES than in NYC Macroscope, most likely reflecting both statistical properties and screening differences.…”

“…We speculate that disproportionate use of specialists for treating diabetes compared with the other two conditions may be a result of differential missing diabetes information in primary care records. Few EHR-based surveillance systems with validated prevalence metrics have examined treatment and control metrics 4. Improvements in EHR coverage, provider representativeness, patient-level documentation, and management of these conditions in primary care settings will improve quality of treatment and control metrics in EHRs for both surveillance and quality-improvement purposes.…”

Evaluación del modelo de descripción de pacientes: Grupo de Riesgo Clínico (CRG) como indicador y predictor de consumo de recursos y su relación con los Factores de Riesgo Cardiovascular y la Calidad de Vida Relacionada con la Salud

“…La prevalencia de dislipemia en la población del estudio es del 16%, un porcentaje menor que el observado en el estudio HISPALIPID (Vegazo et al, 2006), con un 24,3%, y en el realizado por Catalán-Ramos (Catalan-Ramos et al, 2014), con un 38% y 40% en mujeres y hombres respectivamente.…”